| Ms Kelley Robin Farley, NP | |
|
1690 Mcculloch Blvd N Ste 102, Lake Havasu City, AZ 86403-6560 | |
| (480) 404-4896 | |
| Not Available |
| Full Name | Ms Kelley Robin Farley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1690 Mcculloch Blvd N Ste 102, Lake Havasu City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861963845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 219372 (Arizona) | Primary |
| Entity Name | Vip Iv & Medical Spa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447932280 PECOS PAC ID: 3870948722 Enrollment ID: O20231012000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelley Robin Farley, NP 1747 Los Lagos Dr, Lake Havasu City, AZ 86403-6625 Ph: (480) 404-4896 | Ms Kelley Robin Farley, NP 1690 Mcculloch Blvd N Ste 102, Lake Havasu City, AZ 86403-6560 Ph: (480) 404-4896 |
Nikola Marie Neill, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403 Phone: 928-854-5368 Fax: 928-854-4462 | |
Ms. Stephanie Louise Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1987 Mcculloch Blvd N, Ste 101, Lake Havasu City, AZ 86403 Phone: 928-453-6963 Fax: 928-453-7011 | |
June Staley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403 Phone: 928-453-2661 Fax: 928-453-2672 | |
Stephanie R Brison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-0060 | |
Allison Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Darion Alexxis Roush, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Mrs. Stevie Jean Mueller, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-733-6293 |